Tuesday, April 21, 2020

Birth During a Pandemic

During the start of the Covid-19 pandemic, I have heard from other doulas the issues of hospitals separating mother-babies which is driving the fear of these mothers in giving birth in hospitals, aside from the concerns of the virus patients in hospitals.

I want to let mothers know that separating you from your baby, especially during these times is the worst thing you can do. This is aside from being riddled with stress (being away from a newborn to fend himself/herself to a new surrounding outside your womb) will surely not help also.

Essential Interpartum Newborn Care (EINC) / Unang Yakap should still be done especially since it’s Administrative Order 2009-0025 by the Department of Health with the support of the World Health Organization (WHO).

Mantra: DO NO HARM.


The below is a Public Service Announcement from ALIMA Mother Support Center

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The “mother-and-baby” dyad is one unit. Take them away from each other there are risks and consequences.

For the mother, if a baby is separated, she may be at risk for bleeding because the baby is not there to stimulate oxytocin release that aids in the uterine involution.

For the baby, if she is away from her mother, she is taken away from her main source of protection and nutrition. High levels of cortisol or stress hormones rush the moment they are not with their mother. A baby in a state of panic is not shown by crying but by shutting down to hibernation/survival mode.

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Dr. Mianne Silvestre is the reason why we have UNANG YAKAP. Her work is the very foundation of the Essential Intrapartum and Newborn Care that is saving thousands of lives in the world.

She reminds health care providers that separating babies would mean a 4x increased risk of infection of dying.

Isolating babies will not ensure us they will not get COVID19. There is a big chance that babies can be exposed to the virus.

Last April 13 in Lipa, Batangas, a 10day old baby girl was positive with COVID19 and her mother tested negative.

Manage the risks but a mother and child should not be separated.

If the baby has COVID19 her saliva will signal her mother’s body to create antibodies for it. Breastmilk is both food and medicine!

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This is a viral photo of cute babies in face shields in a hospital in Thailand. Face shields and isolation cannot protect these little ones.

FACE SHIELDS FOR BABIES
Babies should not wear face shields. This can pose as a hazard for breathing. Babies cannot maintain oxygen saturation and may rebreathe the CO2 under their shields. Or the headband may slip off and cause strangulation.

Routine separation delays breastfeeding initiation. They can get exposed to pathogens at any time during their stay in isolation or in the NICU and have no breastmilk to actively protect themselves.

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Here is the evidence of the 4 fold increase of infection-related death.
This is not just 10 babies. These studies are from observing thousands of babies. This is not just 1 study but 2 different ones.

Please listen to evidence based studies!

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article sponsered by Northern Michigan certified lactation consulting and Mother Hubbards Country Cupboard

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